
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Moda Center</title>
<style type="text/css">
<!--
body,td,th {
	color: #000000;
}
body {
	background-color: #FFFFFF;
	background-image: url(../jsp/Pics/fundo.jpg);
	margin-left: 0px;
	margin-top: 0px;
	margin-right: 0px;
	margin-bottom: 0px;
}
a:visited {
	color: #999999;
}
-->
</style>
<script type="text/JavaScript">
<!--
function MM_findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}

function MM_validateForm() { //v4.0
  var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;
  for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=MM_findObj(args[i]);
    if (val) { nm=val.name; if ((val=val.value)!="") {
      if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');
        if (p<1 || p==(val.length-1)) errors+='- '+nm+' must contain an e-mail address.\n';
      } else if (test!='R') { num = parseFloat(val);
        if (isNaN(val)) errors+='- '+nm+' must contain a number.\n';
        if (test.indexOf('inRange') != -1) { p=test.indexOf(':');
          min=test.substring(8,p); max=test.substring(p+1);
          if (num<min || max<num) errors+='- '+nm+' must contain a number between '+min+' and '+max+'.\n';
    } } } else if (test.charAt(0) == 'R') errors += '- '+nm+' is required.\n'; }
  } if (errors) alert('The following error(s) occurred:\n'+errors);
  document.MM_returnValue = (errors == '');
}
//-->
</script>
</head>

<body>
<table width="479" border="0" align="center" cellpadding="2" cellspacing="3">
  <tr align="center">
    <th valign="middle" scope="col"><form action="" method="post" name="form1" id="form1" onsubmit="MM_validateForm('textfieldName','','R','textfieldCity','','R','textfielState','','R','textfieldTel','','NisNum','textfieldCel','','NisNum','textfieldEmail','','RisEmail','textareaMens','','R');return document.MM_returnValue">
      <div align="right"></div>
      <table width="352" border="0" cellspacing="3" cellpadding="2">
        <tr>
          <th width="80" scope="col"><div align="left">Nome:</div></th>
          <th colspan="3" scope="col"><label> </label>
                <div align="left">
                  <input name="textfieldName" type="text" id="textfieldName" size="61" maxlength="61" />
              </div></th>
        </tr>
        <tr>
          <td><div align="left">Cidade:</div></td>
          <td width="195"><label> </label>
                <div align="left">
                  <input name="textfieldCity" type="text" id="textfieldCity" size="30" maxlength="30" />
            </div></td>
          <td width="67"><label> </label>
            <div align="left"></div></td>
          <td width="90"><label> </label>

              <div align="right">
                Estado: 
                <input name="textfielState" type="text" id="textfielState" size="2" maxlength="2" />
                  </div></td>
        </tr>
        <tr>
          <td><div align="left">Telefone:</div></td>
          <td><label> </label>
                <div align="left">
                  <input name="textfieldTel" type="text" id="textfieldTel" size="15" maxlength="15" />
              </div></td>
          <td><div align="left">Celular:</div></td>
          <td><label> </label>
                <div align="left">
                  <input name="textfieldCel" type="text" id="textfieldCel" size="15" maxlength="15" />
              </div></td>
        </tr>
        <tr>
          <td><div align="left">E-mail:</div></td>
          <td colspan="3"><div align="left">
            <label>
              <input name="textfieldEmail" type="text" id="textfieldEmail" size="61" maxlength="61" />
              </label>
          </div></td>
        </tr>
        <tr>
          <td><div align="left">Mensagem:</div></td>
          <td><div align="left"></div></td>
          <td><div align="left"></div></td>
          <td><div align="left"></div></td>
        </tr>
        <tr>
          <td colspan="4"><div align="left">
            <label>
              <textarea name="textareaMens" cols="56" rows="6" id="textareaMens"></textarea>
              <br />
              <input name="ButtomEnviar" type="submit" id="ButtomEnviar" value="Enviar" />
              <input name="ButtomLimpar" type="reset" id="ButtomLimpar" value="Limpar" />
              </label>
          </div>
                <div align="left"></div>
            <div align="left"></div>
            <div align="left"></div></td>
        </tr>
      </table>
    </form></th>
  </tr>
</table>
</body>

</html>
